6VV-17253-48359
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 805 / CO
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tirednessFree text: Nothing specific this week but just have not felt normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-09
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Dizziness, Feeling cold — Feeling: Good · Site: Itching · Fatigue or tiredness, DiarrheaFree text: Only one episode of diarrhea. 12 hours after injection became very dizz. Just going to bed at that time. Dizziness gone when woke up. Today felt very cold. Temperature 96MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature abnormal — Feeling: GoodFree text: Body temperature back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Continue to have a 2.5x4 slight reddened slightly edematous area at the injection site which occasionally itchesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: GoodFree text: Injection site same. reddenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — day 7, dose 2MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Redness at injection site now gone occasional itching at siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-21
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Nothing specific this week but just have not felt normal
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Only one episode of diarrhea. 12 hours after injection became very dizz. Just going to bed at that time. Dizziness gone when woke up. Today felt very cold. Temperature 96
Systemic reaction (other): Body temperature back to normal
Systemic reaction (other): Continue to have a 2.5x4 slight reddened slightly edematous area at the injection site which occasionally itches
Systemic reaction (other): Injection site same. reddened
Release 6 — day 7, dose 2
Systemic reaction (other): Redness at injection site now gone occasional itching at site
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Body temperature abnormal | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release